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There is usually a medical exam involved…but you can go to any Dr and get a physical. They don’t pull medical records…they rely on the medical exam and honesty.
The family interview thing is a double-edged sword…why should they require it? The adoptive parents should be honest, and if they aren’t, the caseworker should be able to tell…
In my case, I was adopted by alcoholics, and they are still alcoholics…but that was the seventies.
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Brandy
Adopted Adult, Mom & Wife
Mothering From The Sidelines of Open Adoption
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